KHANTALEE SOUVANNAVONG

Licensed Practical Nurse

NPI: 1487042560Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

286904-1(NY)

Contact & Hours

Address: 185 COUNTRY LN
ROCHESTER, NY 14626
Phone: (585) 749-0292

Quick Facts

NPI: 1487042560
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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